HomeMy WebLinkAboutHomestead_Cox (5)INDIANA SALES DISCLOSURE FORM SDF ID 26 -2009- 1000736 Page 2
D. PREPARER
J. ROBERT KINKLE HALL PARTENHEIMER & KINKLE
ATTORNEY
Prep a..r ofthe Sales Disrlasare Farm
Yale
®9 N. HART ST., PO BOX 13
HALL PARTENHEIMER & KINKLE
dJdreu,.\umber am/Srr¢e /1
Cin•. Slare. mu/ ZIP Code
Telephon¢ Number E -mail
E. SELL ER(S) /GRaNTOR(S)
JAMES T. HUNTER
PAIGE BROSHEARS
Seller -.i'ame as « ppean on emovi anre da amen
Sell, - Aonn, us appears on arm Q,mce Aavmenr
917 N. MAIN STREET
917 N. MAIN STREET
Addreu tAmnte, and Scree {)
Address (:lhlmbrr and S,...
OAKLAND CITY, IN 47660
OAKLAND CITY, IN 47660
0N. $me. and ZIP CMe
C'uir Smre, and ZIP Cafe
(
E -mail
Telephone Numher E -mail
nder penalties of perjury. I hereby certify that this Sales Disclosure. to the best of my knowledge and belief, is true, correct and
omplete as required by law•, and is prepared in accordance ivith IC 6- 1.1 -5.5. "Real Property Sales Disclosure Act ".
Sitman' JSc!lx
Srgnutnn. _, Stlln
QYOJZ ILdiS
Printed :yam, of S,11e, Seen Date(Al.1LDD -YYYY)
Pnn+tr/!' n, of Seller Sign Da :e(ALN/DD.'YTY})
F. BUYER(S) /GRaNjEE(S) - APPLICATION FOR DEDUCTIONS AND CREDITS - IDENTIFY ALL.1TEMS THAT APPLY
(TERRELL W. COX )
rr - Name. appears al-c'.6 ram-e d Klamm,
®3-S_7200
Bae - Name aappears on tan,, am a do.vment
E.
Address (Number gnat Stmef)
Address (Ahrmbtr and Street
OAKLAND CITY, IN 47660
Car. Sate. any/ ZIP Code
Cin', Sara. and ZIP Code
(
relephone Number E -mail
Tel E -mail
HE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERT. DEDUCTIONS FOR TH
PROPERTY. IDENTIFY ALL OF THOSE THAT
p- I. Will this property be the buyers primary, residence? Provide c )let
r 3. Homestead
address of primary residence, including county:
rev Heating /Cooling System
917 N. MAIN STREET
r 5. Rind Power Device
Address p\4mrMr and Svee/j
OAKLAND CITY, IN 47660 Gibson
r 6. Hvdroelecuic Power Device
Cim. Slam, mui 71P Code C ..... N
r 7. Geothermal Enerev Heating /Cooling Device
F 2. Does the buyer have a homestead to be vacated for this residence? If
r S. Is this property a residential rental property?
ves, provide complete address of residence vacating. including county:
F 9. Would you like to recieve tar statements for this property via
e- mail.? (Provide contact information below. Please see the
1873 S. 1200 E.
inanrctions for mare inlannation.:Ynt mailable in all counties.)
Address /Number and Streeo
/ p �7
�`, �� /- ��/ �o � - UG
OAKLAND CITY, IN 47660 Gibson
_IV/. /
Ent S+ute. and7JP Code CounN
Primem pmpern• onmer conmor name £ -mail
Under penalties of penury. 1 hereby certify that this Sales Disclosure, tot the
beTt -of my "now' ledge and belief. is true, correct and complete as
required by law, and is prepared in accordance with IC 6- 1.1 -5.57 "Real Property
Sales Disclosure Act ". (Note: Spouse Information; Social Security
and Drii• '. tens &the n hers are not necessary if no Homestead Deduction is being filed.)
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Last ! r rgiss o/ mar _; pause Now Smte Lnv : Digils of Sortal Serurim Number
Licea c7D :0,ha :Yumber
Number Lic¢noe,1DP'0the, Nmnfrr